| Children And Adult Dental Llc | |
|
7210k Broad River Rd Irmo SC 29063-7973 | |
| (803) 407-2220 | |
| Not Available |
| Full Name | Children And Adult Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7210k Broad River Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Tonia Patterson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8036007211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Adult Dental Llc 7210k Broad River Rd Irmo SC 29063-7973 Ph: () - | Children And Adult Dental Llc 7210k Broad River Rd Irmo SC 29063-7973 Ph: (803) 407-2220 |
| NPI Number | 1053887653 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053887653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dutch Fork Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7436 Broad River Rd Ste 111, Irmo, SC 29063 Phone: 803-749-3333 Fax: 803-749-3335 | |
Maggie Livingston Phillips, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 Kinley Rd, Irmo, SC 29063 Phone: 803-781-0880 | |
Mark G. Pelletier, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-781-7901 Fax: 803-749-1376 | |
Family Dental Health Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hunter Village Dr Ste B, Irmo, SC 29063 Phone: 803-407-9580 Fax: 803-407-9579 | |
A. Crosby Livingston, Jr., Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 Kinley Rd, Irmo, SC 29063 Phone: 803-781-0880 Fax: 803-781-3288 | |
Irmo Kids Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7570 Woodrow St, Irmo, SC 29063 Phone: 803-429-7058 |